SETTLEMENT CHOICES

[ ] I'll handle it myself. I relieve you of all responsibility in these matters.

[ ] We can't agree or my spouse is not available. I'll put these matters off and handle them myself. I relieve you of all responsibility in these matters.

[ ] All issues have already been settled. I relieve you of all responsibility in these matters.

[ ] I would like to settle matters by preparing a written Marital Settlement Agreement. Please send me an outline form so I can prepare my own.

[ ] Please contact me in regard to preparation of a Marital Settlement Agreement. I understand that there is an extra charge for this service.

OTHER INFORMATION

The information below is optional. It is being requested because, if we have it, it will better enable us to anticipate and prepare for any special circumstances or problems in regard to your divorce. For instance, people sometimes get divorced NOT because they are unhappy together, but to accomplish some other legal purpose. When this is the case, there may be special procedures that might be incorporated in the divorce proceedings that would be helpful in accomplishing the desired goal. If you are not concerned about such matters, please feel free to skip the following section. However, if one of the following applies to your situation and you fail to acknowledge it below, you relieve MegaNation of all responsibility should you run into problems.

YES NO ARE YOU CURRENTLY IN ANY BRANCH OF THE MILITARY?

IF YES, WHAT BRANCH? __________________________________

YES NO IS YOUR SPOUSE CURRENTLY IN THE MILITARY?

IF YES, WHAT BRANCH? __________________________________

YES NO DO YOU HAVE DEFINATE PLANS TO MARRY SOMEONE WHO IS CURRENTLY IN THE MILITARY?

YES NO IS THIS DIVORCE TO BE USED AS PART OF A PETITION TO OBTAIN IMMIGRATION BENEFITS?

YES NO IS THIS DIVORCE TO BE USED AS PART OF A PETITION TO OBTAIN SOCIAL SECURITY BENEFITS?

YES NO IS THIS DIVORCE TO BE USED AS EVIDENCE IN A LAW SUIT?

YES NO IS THIS DIVORCE TO BE USED AS PART OF A BANKRUPTCY?

YES NO IS THIS DIVORCE TO BE USED AS EVIDENCE TO BE USED IN A TAX INVESTIGATION OR SUIT?

YES NO TO THE BEST OF YOUR KNOWLEDGE, WILL YOUR SPOUSE HIRE AN ATTORNEY TO CONTEST YOUR DIVORCE?

YES NO DO YOU HAVE DEFINITE PLANS TO REMARRY SHORTLY AFTER YOUR DIVORCE IS GRANTED?

All of the above information is true to the best of my knowledge and belief. I understand that giving false or incorrect information may cause my divorce to be ruled unlawful, invalid, or unacceptable to certain jurisdictions. I recognize and agree that all assistance is offered and rendered in the belief that all of the above statements are truthful and factual and that making any statement that is false, malfeasing or inaccurate renders all guarantees of validity and acceptance null and void.

SIGNED:______________________________________________________________________________________DATED:_________________

SIGNED:______________________________________________________________________________________DATED:_________________

NOTES

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Telephone 1-800-297-9102